2020 ICD-10-CM Diagnosis Code M96.6

Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M96.6 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Fx bone following insrt ortho implnt/prosth/bone plt
  • The 2020 edition of ICD-10-CM M96.6 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M96.6 - other international versions of ICD-10 M96.6 may differ.
Applicable To
  • Intraoperative fracture of bone during insertion of orthopedic implant, joint prosthesis, or bone plate
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (M96.6) and the excluded code together.
  • complication of internal orthopedic devices, implants or grafts (
    ICD-10-CM Diagnosis Code T84
    • T84.0 Mechanical complication of internal joint prosthesis
    • T84.1 Mechanical complication of internal fixation device of bones of limb
    • T84.2 Mechanical complication of internal fixation device of other bones
    • T84.3 Mechanical complication of other bone devices, implants and grafts
    • T84.4 Mechanical complication of other internal orthopedic devices, implants and grafts
    • T84.5 Infection and inflammatory reaction due to internal joint prosthesis
    • T84.6 Infection and inflammatory reaction due to internal fixation device
    • T84.7 Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts
    • T84.8 Other specified complications of internal orthopedic prosthetic devices, implants and grafts
    • T84.9 Unspecified complication of internal orthopedic prosthetic device, implant and graft
    T84.-
    )
The following code(s) above M96.6 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M96.6:
  • M00-M99
    2020 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M96
    ICD-10-CM Diagnosis Code M96

    Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • arthropathy following intestinal bypass (M02.0-)
    • complications of internal orthopedic prosthetic devices, implants and grafts (T84.-)
    • disorders associated with osteoporosis (M80)
    • periprosthetic fracture around internal prosthetic joint (M97.-)
    • presence of functional implants and other devices (Z96-Z97)
    Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M96.6:
  • Type 2 Excludes: T84
    , M97
    ICD-10-CM Diagnosis Code T84

    Complications of internal orthopedic prosthetic devices, implants and grafts

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • failure and rejection of transplanted organs and tissues (T86.-)
    • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6)
    ICD-10-CM Diagnosis Code M97

    Periprosthetic fracture around internal prosthetic joint

      2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate (M96.6-)
    • breakage (fracture) of prosthetic joint (T84.01-)
ICD-10-CM Codes Adjacent To M96.6
M95.5 Acquired deformity of pelvis
M95.8 Other specified acquired deformities of musculoskeletal system
M95.9 Acquired deformity of musculoskeletal system, unspecified
M96 Intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
M96.0 Pseudarthrosis after fusion or arthrodesis
M96.1 Postlaminectomy syndrome, not elsewhere classified
M96.2 Postradiation kyphosis
M96.3 Postlaminectomy kyphosis
M96.4 Postsurgical lordosis
M96.5 Postradiation scoliosis
M96.6 Fracture of bone following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.62 Fracture of humerus following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.621 …… right arm
M96.622 …… left arm
M96.629 …… unspecified arm
M96.63 Fracture of radius or ulna following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.631 …… right arm
M96.632 …… left arm
M96.639 …… unspecified arm
M96.65 Fracture of pelvis following insertion of orthopedic implant, joint prosthesis, or bone plate
M96.66 Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.